Individual
KATLYN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
10 CORONADO RD, INDIANAPOLIS, IN 46234-2526
(317) 222-1252
Mailing address
2009 FAIRFIELD BLVD, PLYMOUTH, IN 46563-9180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
07/26/2023
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